Authors: Cesare Forlini, Matteo Forlini, Paolo Rossini, Ravenna, Italy


Presenting our standard surgical behaviour in the use of 23 g Surgery.


146 consecutive procedures for macular pucker, macular hole, vitreous hemorrhage, macular edema, RRD. The standard technique is: use of BIOM system and Xenon chandelier light; radical triamcinolone-assisted vitrectomy; ICG-assisted ILM peeling; prophylactic pheripheral endolaser; transconjunctival suture.

Effectiveness / Safety:

In this case series no major complications like endophthalmitis, severe hypotony or choroidal detachment occurred. Two cases of secondary retinal detachment due to undetected pheripheral break. By using this routine surgical behaviour, we reduce dramatically the incidence of serious post-operative complications, and confirm that 23g surgery is the golden standard for vitreoretinal surgery.